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DEFINITION
OF EPILEPSY
According
to the Epilepsy Foundation of America, epilepsy is a physical condition
that occurs when there is a sudden, brief change in how the brain
works. When brain cells are not working properly, a person's consciousness,
movement, or actions may be altered for a short time. These physical
changes are called epileptic seizures. Epilepsy is therefore sometimes
called a seizure disorder. Epilepsy affects people in all nations
and of all races.
Some people can experience a seizure and not have epilepsy. For
example, many young children have convulsions from fevers. These
febrile convulsions are one type of seizure. Other types of seizures
not classified as epilepsy include those caused by an imbalance
of body fluids or chemicals or by alcohol or drug withdrawal. A
single seizure does not mean that the person has epilepsy.
Incidence
About
two million Americans have epilepsy; of the 125,000 new cases that
develop each year, up to 50% are in children and adolescents.
Characteristics
Although
the symptoms listed below are not necessarily indicators of epilepsy,
it is wise to consult a doctor if you or a member of your family
experiences one or more of them:
- "Blackouts"
or periods of confused memory;
- Episodes
of staring or unexplained periods of unresponsiveness;
- Involuntary
movement of arms and legs;
- "Fainting
spells" with incontinence or followed by excessive fatigue;
or
-
Odd sounds, distorted perceptions, episodic feelings of fear that
cannot be explained.
Seizures
can be generalized, meaning that all brain cells are involved. One
type of generalized seizure consists of a convulsion with a complete
loss of consciousness. Another type looks like a brief period of
fixed staring.
Seizures are partial when those brain cells not working properly
are limited to one part of the brain. Such partial seizures may
cause periods of "automatic behavior" and altered consciousness.
This is typified by purposeful- looking behavior, such as buttoning
or unbuttoning a shirt. Such behavior, however, is unconscious,
may be repetitive, and is usually not recalled.
Educational Implications
Students with epilepsy or seizure disorders are eligible for special
education and related services under the Individuals with Disabilities
Education Act (IDEA), formerly the Education of the Handicapped
Act (Public Law 94-142). Epilepsy is classified as "other health
impaired" and an Individualized Education Program (IEP) would
be developed to specify appropriate services. Some students may
have additional conditions such as learning disabilities along with
the seizure disorders.
Seizures may interfere with the child's ability to learn. If the
student has the type of seizure characterized by a brief period
of fixed staring, he or she may be missing parts of what the teacher
is saying. It is important that the teacher observe and document
these episodes and report them promptly to parents and to school
nurses.
Depending on the type of seizure or how often they occur, some children
may need additional assistance to help them keep up with classmates.
Assistance can include adaptations in classroom instruction, first
aid instruction on seizure management to the student's teachers,
and counseling, all of which should be written in the IEP.
It is important that the teachers and school staff be informed about
the child's condition, possible effects of medication, and what
to do in case a seizure occurs at school. Most parents find that
a friendly conversation with the teacher(s) at the beginning of
the school year is the best way to handle the situation. Even if
a child has seizures that are largely controlled by medication,
it is still best to notify the school staff about the condition.
School personnel and the family should work together to monitor
the effectiveness of medication as well as any side effects. If
a child's physical or intellectual skills seem to change, it is
important to tell the doctor. There may also be associated hearing
or perception problems caused by the brain changes. Written observations
of both the family and school staff will be helpful in discussions
with the child's doctor.
Children and youth with epilepsy must also deal with the psychological
and social aspects of the condition. These include public misperceptions
and fear of seizures, uncertain occurrence, loss of self control
during the seizure episode, and compliance with medications. To
help children feel more confident about themselves and accept their
epilepsy, the school can assist by providing epilepsy education
programs for staff and students, including information on seizure
recognition and first aid.
Students can benefit the most when both the family and school are
working together. There are many materials available for families
and teachers so that they can understand how to work most effectively
as a team.
RESOURCES
Epilepsy Foundation of America. (n.d.). Epilepsy:
Questions and answers about seizure disorders. Landover, MD: Author.
(See address below.)
Freeman, J.M., Vining, E., E. Pillas, D.J. (1997). Seizures and
epilepsy in childhood: A guide for parents (2nd ed.). Baltimore,
MD: Johns Hopkins University Press. [Telephone: 1-800-537-5487.]
Lechtenberg, R. (1999). Epilepsy and the family: A new guide (2nd
ed.). Cambridge, MA: Harvard University Press. (Telephone: 1-800-448-2242.)
ORGANIZATIONS
Epilepsy
Foundation - National Office
4351 Garden City Drive, Suite 406
Landover, MD 20785
(301) 459-3700; (800) 332-1000 (Toll Free)
(301) 577-0100 for publications
E-mail: postmaster@efa.org
National Institute
of Neurological Disorders and Stroke (NINDS)
National Institutes of Health
Building 31, Room 8A06
31 Center Drive, MSC 2540
Bethesda, MD 20892
(301) 496-5751
(800) 352-9424
Reprinted with permission by:
NICHCY
National Information Center for Children and Youth with Disabilities
P.O. Box 1492
Washington, DC 20013
E-Mail: nichcy@aed.org
1-800-695-0285 (Voice/TTY)
Updated,
April 2000
This fact sheet is made possible through Cooperative Agreement #H326N980002
between the Academy for Educational Development and the Office of
Special Education Programs. The contents of this publication do
not necessarily reflect the views or policies of the Department
of Education, nor does mention of trade names, commercial products
or organizations imply endorsement by the U. S. Government.
This information is in the public domain unless otherwise indicated.
Readers are encouraged to copy and share it, but please credit the
National Information Center for Children and Youth with Disabilities
(NICHCY).
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